Organization
ONYX MEDICAL OFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YOANDRA ACOSTA (OWNER/PRESIDENT)
(305) 223-2966
Entity
Organization
Contact information
Practice address
2466 SW 137TH AVE, MIAMI, FL 33175-6330
(305) 223-2966
(305) 223-2968
Mailing address
2466 SW 137TH AVE, MIAMI, FL 33175-6330
(305) 223-2966
(305) 223-2968
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
HCC7819
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME69016
LICENSE
FL
Enumeration date
11/21/2007
Last updated
11/21/2007
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